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Indiana rates for HCPCS 48547

Duodenal exclusion with gastrojejunostomy for pancreatic injury

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,710.89 / $1,890.74 / $4,846.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,644.26 / $1,789.96 / $2,411.54
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,600.00 / $11,226.46 / $15,429.17
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,389.76 / $1,737.20 / $2,397.33
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,575.62 / $2,048.31 / $2,363.42
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,575.62 / $1,890.74 / $2,363.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$761.00 / $761.00 / $2,040.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,526.20 / $2,061.05 / $3,597.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,403.00 / $5,076.00 / $10,926.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,533.66 / $1,946.34 / $3,420.82